NCT05406167

Brief Summary

The purpose of this prospective cohort study is to assess clinical and quality of life measures as well as to define the severity of adverse effects for the use of the RefleXion system to deliver intensity-modulated radiotherapy (IMRT), stereotactic body radiotherapy (SBRT), or SCINTIX Biology-guided radiotherapy (BgRT) in standard of care (SOC) use in the treatment of local,loco-regionally advanced, and oligometastatic malignancies. In addition, patient costs and charges will be analyzed to quantify the health economic impact of this modality. Workflow and quality of radiotherapy planning including a collection of dosimetric data will also be analyzed.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
500

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Apr 2022

Longer than P75 for all trials

Geographic Reach
1 country

5 active sites

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

April 12, 2022

Completed
20 days until next milestone

First Submitted

Initial submission to the registry

May 2, 2022

Completed
1 month until next milestone

First Posted

Study publicly available on registry

June 6, 2022

Completed
3.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 25, 2026

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 25, 2026

Completed
Last Updated

August 15, 2025

Status Verified

August 1, 2025

Enrollment Period

4 years

First QC Date

May 2, 2022

Last Update Submit

August 12, 2025

Conditions

Keywords

IMRTSBRTRadiation Oncology

Outcome Measures

Primary Outcomes (2)

  • Health Related Quality of Life (HRQOL) scores

    Evaluate patient-reported quality of life after IMRT, SBRT, or BgRT treatment delivered by the RefleXion system by assessing EORTC QLQ-C30. The EORTC questionnaire has a scoring of 0 to 100 and is disease-specific. 0 is none/minimal symptoms and normal/good functional ability. 100 is increased/severe symptoms and decrease/poor functional ability.

    30 Days

  • Health Related Quality of Life (HRQOL) scores

    Evaluate patient-reported quality of life after IMRT or SBRT treatment delivered by the RefleXion system by assessing EORTC QLQ-C30. The EORTC questionnaire has a scoring of 0 to 100 and is disease-specific. 0 is none/minimal symptoms and normal/good functional ability. 100 is increased/severe symptoms and decrease/poor functional ability.

    90 Days

Secondary Outcomes (10)

  • Long Term Health-Related Quality of Life-EORTC

    6 months, 9 months, 12 months, 18 months, and 24 months

  • Long Term Health Related Quality of Life-EuroQol

    6 months, 9 months, 12 months, 18 months, and 24 months

  • Acute toxicities related to Radiotherapy treatment

    Up to 90 days

  • Disease Status [progression-free survival]

    Through Study Completion, average of 2 years

  • Disease Status [local recurrence]

    Through Study Completion, average of 2 years

  • +5 more secondary outcomes

Study Arms (3)

Stereotactic Body Radiotherapy [SBRT]

Patients treated with Reflexion X1 with SBRT as the standard of care

Device: Registry - Observational

Intensity -Modulated Radiation Therapy [IMRT]

Patients treated with Reflexion X1 with IMRT as the standard of care

Device: Registry - Observational

Biology-guided Radiotherapy [BgRT]

Patients treated with Reflexion X1 with BgRT as the standard of care

Device: Registry - Observational

Interventions

Observation Registry for Medical Device

Also known as: Reflexion X1
Biology-guided Radiotherapy [BgRT]Intensity -Modulated Radiation Therapy [IMRT]Stereotactic Body Radiotherapy [SBRT]

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

The purpose of this prospective cohort study is to assess clinical and quality of life measures as well as to define the severity of adverse effects for the use of the RefleXion system to deliver intensity-modulated radiotherapy (IMRT), stereotactic body radiotherapy (SBRT), and Biology-guided radiotherapy (BgRT), in standard of care(SOC)use in the treatment of local, locoregionally advanced, and oligometastaticmalignancies. In addition, patient costs and charges will be analyzed to quantify the health economic impact of this modality. Workflow and quality of radiotherapy planning including collection of dosimetric data will also be analyzed.

You may qualify if:

  • Able to comprehend and be willing to sign an informed consent form (ICF).
  • Diagnosis of local, loco-regionally advanced, or metastatic malignancy for whom radiotherapy is indicated
  • Radiotherapy to be delivered on the RMRS X1 with IMRT, SBRT, or BgRT technique.
  • Absence of concurrent illness that deems radiotherapy a contraindication which will be determined by the treating radiation oncologist.
  • Female and male patients of child-bearing potential willing to take appropriate precautions to avoid pregnancy while being treated. Permitted methods in preventing pregnancy should be communicated to the patient and their understanding confirmed by the treating Physician.
  • For BgRT patients only: Deemed eligible for BgRT with FDG per BgRT planning session

You may not qualify if:

  • Pregnant or expecting to conceive during the study.
  • Has a known psychiatric or substance abuse disorder that would interfere with the participant's ability to cooperate with study requirements and follow-up visits.
  • Inability to maintain immobilization, supine position for planning and treatments.
  • For BgRT patients only: Known allergy to FDG

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (5)

City Of Hope

Duarte, California, 91010, United States

RECRUITING

Stanford Cancer Center

Palo Alto, California, 94305, United States

RECRUITING

Yale University - Cancer Center

New Haven, Connecticut, 06510, United States

RECRUITING

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, 15219, United States

RECRUITING

UT Southwestern

Dallas, Texas, 75235, United States

RECRUITING

MeSH Terms

Conditions

NeoplasmsCentral Nervous System NeoplasmsGastrointestinal NeoplasmsUrogenital NeoplasmsHead and Neck Neoplasms

Condition Hierarchy (Ancestors)

Nervous System NeoplasmsNeoplasms by SiteNervous System DiseasesDigestive System NeoplasmsDigestive System DiseasesGastrointestinal DiseasesFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesMale Urogenital Diseases

Study Officials

  • Sean Shirvani, MD

    RefleXion Medical

    STUDY DIRECTOR
  • Karine Feghali, MD

    RefleXion Medical

    STUDY DIRECTOR

Central Study Contacts

Debradenise S. Brooks

CONTACT

Mario Esquivel

CONTACT

Study Design

Study Type
observational
Observational Model
OTHER
Time Perspective
PROSPECTIVE
Target Duration
2 Years
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 2, 2022

First Posted

June 6, 2022

Study Start

April 12, 2022

Primary Completion

April 25, 2026

Study Completion

April 25, 2026

Last Updated

August 15, 2025

Record last verified: 2025-08

Data Sharing

IPD Sharing
Will not share

Locations